Assisted Conception

Question 1

What 4 factors are suggested for the increasing use of ACT?

Answer 1

• Increasing parenteral age
• Increasing rates of chlamydia
• Male factor infertility
• Increasing range of ACT and success rates

Question 2

How could you assess ovarian reserve?

Answer 2

Antral follicle or AMH

Question 3

Under what conditions would 3 full cycles of IVF be offered?

Answer 3

Women under the age of 40 who have not conceived after 2 years or regular unprotected sex OR 12 cycles of artificial insemination (where 6 or more are via IUI).

Question 4

What are the 5 steps involved in IVF?

Answer 4

1) Down regulation
2) Ovarian stimulation
3) Oocyte collection
4) Fertilisation
5) Embryo transfer

Question 5

If sperm had to be extracted from the male surgically, and there was not an obstructive issue, where would the sample be taken from?

Answer 5

Testicular tissue

Question 6

Which ducts are involved int he development of the male reproductive tract?

Answer 6

Wolffian ducts

Question 7

Why is it important for the testes to descend?

Answer 7

Lower temperature externally; required to facilitate spermatogenesis.

Question 8

What are 2 roles of the sertoli cells?

Answer 8

• Form a blood testes barrier to protect the sperm from antibody attack.
• Provides nutrients to replenish developing cells.

Question 9

What is the function of the prostate gland with regards to fertilisation?

Answer 9

Produces an alkaline fluid to neutralise vaginal acidity and clotting enzymes to clot semen within the female.

Question 10

What is the normal volume of an adult testicle?

Answer 10

12-25mls